CAJ | 학술논문

目的：观察分析中医辨证分型治疗老年高血压病的动态血压临床效果。方法：选取我院自2010年6月～2011年12月收治的老年高血压病患者78例，依据治疗方法的不同分为观察组（联用中医辨证治疗组）和对照组（西药治疗组），观察两组治疗前后的动态血压变化和有效率。结果：观察组和对照组治疗后血压均降低，较治疗前有显著差异（P<0.05），观察组血压降低幅度较对照组更大，差异有统计学意义（P<0.05）。根据《中医病证诊断疗效标准》，观察组显效33例，有效18例，无效3例，有效率为94.4%；对照组显效11例，有效7例，无效6例，有效率为75.0%；两组有效率比较差异有统计学意义（P<0.05）。结论：中医辨证分型治疗老年高血压病可以更有效降低血压，治疗有效率更高。
목적：관찰분석중의변증분형치료노년고혈압병적동태혈압림상효과。방법：선취아원자2010년6월～2011년12월수치적노년고혈압병환자78례，의거치료방법적불동분위관찰조（련용중의변증치료조）화대조조（서약치료조），관찰량조치료전후적동태혈압변화화유효솔。결과：관찰조화대조조치료후혈압균강저，교치료전유현저차이（P<0.05），관찰조혈압강저폭도교대조조경대，차이유통계학의의（P<0.05）。근거《중의병증진단료효표준》，관찰조현효33례，유효18례，무효3례，유효솔위94.4%；대조조현효11례，유효7례，무효6례，유효솔위75.0%；량조유효솔비교차이유통계학의의（P<0.05）。결론：중의변증분형치료노년고혈압병가이경유효강저혈압，치료유효솔경고。
Objective:To observe and analyze clinical effect of TCM differential treatment ambulatory blood pressure of elderly hypertension. Methods:78 elderly hypertensive patients in our hospital from June 2010 to December 2011 were divided into observation group (combined with TCM treatment group) and control group (modern medicine group) according to different treatment methods. Dynamic changes in blood pressure and efficiently were observed before and after treatment. Results:After treatment, blood pressures both lowered, with a significant difference (P<0.05) than before treatment, the observation group lowered more than the control group, the difference was statistically significant (P<0.05). According to TCM Syndrome Diagnostic efficacy standards, the observation group: 33 cases were markedly effective, effective in 18 cases, ineffective in 3 cases, the efficiency was 94.4%; the control group: 11 cases were markedly effective, effective in 7 cases, ineffective in 6 cases, the efficiency was 75.0%; the difference was statistically significant in efficiency between two groups (P<0.05). Conclusion:TCM differential treatment can be more effective to reduce blood pressure in treating elderly hypertension, has higher efficiency.